Henry Ford West Bloomfield Hospital
6777 W Maple Road, West Bloomfield, MI · Henry Ford Health · · NPI 1407867559
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Skin test unlisted antigen ea CPT 86486 | $39.77 | $86.00 | $4.55 – $66.31 | 21 |
| Skull base/brainstem surgery CPT 61575 | $3,770.91 | $9,060.00 | $1,538.71 – $15,415.11 | 19 |
| Skull base/brainstem surgery CPT 61576 | $6,428.85 | $14,610.00 | $2,674.85 – $20,834.39 | 19 |
| Skull X-ray (1 to 3 views) CPT 70250 | $143.75 | $301.00 | $5.54 – $168.17 | 22 |
| Skull X-ray (complete) CPT 70260 | $143.75 | $414.00 | $8.31 – $243.88 | 22 |
| Skyla, 13.5 mg HCPCS J7301 | $1,049.00 | $3,035.64 | $910.69 – $2,616.72 | 13 |
| Slco1b1 gene com variants CPT 81328 | $241.24 | $864.00 | $91.43 – $666.14 | 20 |
| Sleep study attended CPT 95807 | $513.11 | $2,497.00 | $37.91 – $1,672.99 | 22 |
| Sleep Study (Polysomnography) CPT 95810 | $1,180.80 | $3,173.00 | $76.25 – $2,125.91 | 22 |
| Sleep study unattended CPT 95806 | $296.91 | $1,043.00 | $28.54 – $633.82 | 22 |
| Sleeve fing rolyan med HCPCS L3933 | $329.32 | $302.00 | $89.08 – $471.73 | 17 |
| Sleeve irr assura 1pc disp HCPCS A4397 | not published | not published | $7.44 – $10.21 | 2 |
| Sleeve pneumonectomy CPT 32442 | $4,314.34 | $10,600.00 | $1,802.41 – $18,819.56 | 19 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $15.15 | not published | $7.05 – $21.39 | 15 |
| Sling pelv split sam med HCPCS L0621 | $89.62 | not published | $59.74 – $147.85 | 16 |
| Sling suprapubic suburetheral HCPCS C1771 | not published | $18,811.95 | $870.37 – $2,500.87 | 11 |
| Slitting of prepuce CPT 54000 | $4,846.99 | $351.00 | $66.88 – $8,078.31 | 20 |
| Slitting of prepuce CPT 54001 | $2,874.36 | $4,153.00 | $82.64 – $4,790.60 | 22 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | not published | not published | $29.07 – $102.02 | 5 |
| Slp eval non-spch gen comm dev CPT 92605 | not published | not published | $78.61 – $292.10 | 5 |
| Slp pure tone screening CPT 92551 | $20.00 | $95.00 | $8.52 – $63.65 | 18 |
| Slp stdy unatnd w/anal CPT 95801 | $81.12 | $131.00 | $26.20 – $184.71 | 19 |
| Slp ther svc non-spch gen CPT 92606 | not published | not published | $62.01 – $122.64 | 3 |
| Sm-153 lexidron ther HCPCS A9604 | $4,360.52 | $18,237.00 | $1,652.58 – $18,237.00 | 21 |
| Small animal inoculation CPT 87003 | $23.24 | $113.00 | $9.46 – $75.71 | 20 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $241.18 | $669.00 | $23.86 – $448.23 | 22 |
| Small bowel endoscopy CPT 44360 | $2,638.57 | $2,016.00 | $81.37 – $4,397.62 | 22 |
| Small bowel endoscopy CPT 44364 | $2,638.57 | $2,218.00 | $115.02 – $4,397.62 | 22 |
| Small bowel endoscopy CPT 44366 | $2,638.57 | $2,218.00 | $134.19 – $4,397.62 | 22 |
| Small bowel endoscopy CPT 44369 | $2,638.57 | $2,218.00 | $137.60 – $4,397.62 | 22 |
| Small bowel endoscopy CPT 44376 | $2,638.57 | $2,016.00 | $158.47 – $4,397.62 | 22 |
| Small bowel endoscopy CPT 44378 | $2,638.57 | $2,218.00 | $213.64 – $4,397.62 | 22 |
| Small bowel endoscopy CPT 44382 | $1,247.13 | $2,016.00 | $43.24 – $2,078.56 | 22 |
| Small bowel endoscopy CPT 44384 | $2,638.57 | $3,506.00 | $86.05 – $4,397.62 | 22 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | $2,638.57 | $2,016.00 | $108.20 – $4,397.62 | 22 |
| Small bowel endoscopy 44365 CPT 44365 | $2,638.57 | $2,016.00 | $102.67 – $4,397.62 | 22 |
| Small bowel endoscopy/biopsy CPT 44361 | $2,638.57 | $2,148.00 | $89.67 – $4,397.62 | 22 |
| Small bowel endoscopy/biopsy CPT 44377 | $2,638.57 | $1,000.00 | $166.35 – $4,397.62 | 20 |
| Small bowel endoscopy br/wa CPT 44380 | $1,247.13 | $2,148.00 | $33.87 – $2,078.56 | 22 |
| Small bowel endoscopy br/wa CPT 44381 | $2,638.57 | $2,016.00 | $49.42 – $4,397.62 | 22 |
| Small bowel endoscopy/stent 44370 CPT 44370 | $8,347.72 | $4,440.00 | $150.17 – $13,912.86 | 22 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | $0.01 | not published | $0.01 – $571.08 | 19 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $7.44 | $36.00 | $2.82 – $24.12 | 21 |
| Smear gram stain CPT 87205 | $5.89 | $29.00 | $2.23 – $11.42 | 21 |
| Smear nasal eosinophil CPT 89190 | $7.99 | $32.00 | $3.03 – $21.44 | 21 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $8.27 | $48.00 | $1.90 – $61.30 | 21 |
| Smear wet mount CPT 87210 | $8.03 | $20.00 | $3.04 – $13.40 | 21 |
| Smn1 gene full gene sequence CPT 81336 | $415.86 | not published | $157.61 – $650.92 | 16 |
| Smn1 gen nown famil seq vrnt CPT 81337 | $255.58 | not published | $96.86 – $400.03 | 16 |
| Smpd1 gene common variants CPT 81330 | $64.86 | $65.00 | $21.70 – $101.52 | 21 |
| Snrpn/ube3a gene CPT 81331 | $70.48 | $253.00 | $26.71 – $195.06 | 21 |
| So airplane w/wo joint cf HCPCS L3674 | $1,824.44 | not published | $1,216.30 – $2,613.41 | 15 |
| So cap design without jnts cf HCPCS L3671 | $1,390.75 | not published | $927.17 – $1,992.16 | 15 |
| Socket insert above knee HCPCS L5658 | $771.34 | not published | $514.22 – $1,104.89 | 16 |
| Socket insert below knee HCPCS L5655 | $481.01 | not published | $320.68 – $689.03 | 16 |
| Socket insert knee articulat HCPCS L5656 | $730.77 | not published | $487.18 – $1,046.78 | 16 |
| Socket insert symes HCPCS L5654 | $666.22 | not published | $444.15 – $954.31 | 16 |
| Socket insert without lock mech HCPCS L5679 | $1,112.96 | $4,827.00 | $741.97 – $4,160.87 | 19 |
| Socket insert w lock mech HCPCS L5673 | $1,335.59 | not published | $890.39 – $1,913.15 | 16 |
| Sock fracture or equal each HCPCS L3995 | $63.37 | not published | $42.25 – $90.77 | 16 |
| Sock wool above knee HCPCS L8430 | $40.14 | not published | $26.76 – $57.50 | 16 |
| Sodium 24 hour urine CPT 84300 | $6.98 | $32.00 | $2.65 – $21.44 | 21 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $2.74 | not published | $1.12 – $7.18 | 10 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $1.77 | not published | $0.73 – $3.59 | 10 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $0.92 | not published | $0.38 – $3.16 | 10 |
| Sodium chloride 3 % ivpb HCPCS J7131 | not published | not published | $0.08 – $0.39 | 6 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $3.06 | $100.40 | $1.25 – $86.54 | 14 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $100.69 | $858.96 | $41.21 – $299.11 | 14 |
| Sodium serum/plasma/whole blood CPT 84295 | $6.64 | $32.00 | $2.52 – $21.44 | 20 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $1.22 | $365.00 | $0.46 – $16.17 | 20 |
| Soft interface below knee se HCPCS L2820 | $137.71 | not published | $91.81 – $197.25 | 16 |
| Software meas of cardiac vol HCPCS G0183 | $119.66 | not published | $82.38 – $159.55 | 11 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | $1,856.53 | not published | $619.43 – $2,905.87 | 16 |
| So gsap cll fr dna/dna&rna CPT 81462 | $1,650.25 | not published | $619.43 – $2,582.99 | 16 |
| So gsap cll fr mcrstl ins CPT 81464 | $4,538.14 | not published | $619.43 – $7,103.18 | 16 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | $1,443.96 | not published | $547.24 – $2,260.12 | 16 |
| Solid skin barrier HCPCS A4362 | $5.89 | not published | $3.08 – $8.45 | 16 |
| Solid skin barrier 6x6 HCPCS A5121 | $14.66 | not published | $5.81 – $20.99 | 16 |
| Somatosensory testing CPT 95927 | $296.91 | $716.00 | $17.25 – $494.85 | 22 |
| Somatropin injection HCPCS J2941 | not published | not published | $141.27 – $405.52 | 5 |
| So neo gsap dna/dna&rna CPT 81459 | $4,125.58 | not published | $1,563.53 – $6,457.43 | 16 |
| So neo gsap dna mcrstl ins CPT 81457 | $1,237.68 | not published | $469.06 – $1,937.24 | 16 |
| Sotalol hydrochloride IV HCPCS C9482 | $34.62 | not published | $13.12 – $57.71 | 18 |
| So vest canvas/web pre ots HCPCS L3675 | $270.91 | not published | $180.61 – $388.06 | 16 |
| Spacer bag/reservoir HCPCS A4627 | not published | not published | $17.14 – $47.18 | 5 |
| Sp bone agrft morsel add-on CPT 20937 | $226.80 | $580.00 | $93.93 – $1,073.90 | 19 |
| Sp bone agrft struct add-on CPT 20938 | $254.15 | $650.00 | $104.16 – $1,168.68 | 19 |
| Sp bone algrft morsel add-on CPT 20930 | $194.00 | $350.00 | $104.81 – $530.61 | 11 |
| Special casting material HCPCS A4590 | not published | not published | $21.10 – $50.41 | 5 |
| Special physics consult CPT 77370 | $206.03 | $1,310.00 | $71.82 – $427.46 | 22 |
| Special pump services CPT 99190 | not published | not published | $802.05 – $1,133.71 | 5 |
| Special pump services CPT 99191 | not published | not published | $561.98 – $1,075.90 | 5 |
| Special pump services CPT 99192 | not published | not published | $401.98 – $799.34 | 5 |
| Special radiation dosimetry CPT 77331 | $184.82 | $195.00 | $12.88 – $308.04 | 22 |
| Special radiation treatment CPT 77470 | $759.77 | $2,081.00 | $25.75 – $1,394.27 | 22 |
| Special supplies phys/qhp CPT 99070 | not published | $525.00 | $1.48 – $367.50 | 8 |
| Special teletx port plan CPT 77321 | $514.85 | $683.00 | $29.52 – $858.08 | 22 |
| Specific gravity body fluid CPT 84315 | $4.53 | $18.00 | $2.68 – $12.06 | 20 |
| Specimen fat stain CPT 89125 | $8.11 | $29.00 | $3.08 – $19.43 | 21 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $308.10 | $410.00 | $151.79 – $410.00 | 22 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.